Individual provider Active NPI

Nivedita Lakhera, MD

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1730399387
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2008-01628 Issued in NC
Practice address
2823 Fresno St
Fresno, CA 93721-1324
Phone
(781) 454-6296
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2008-01628 NC
Internal Medicine Physician 207R00000X 2008-01628 NC Primary

Addresses

Primary practice location

2823 Fresno St
Fresno, CA 93721-1324

Mailing address

2823 Fresno St
Fresno, CA 93721
Phone (781) 454-6296

Other identifiers 1

IdentifierTypeStateIssuer
3810022031MedicaidWV

Other names 1

  • Nivedita Pandey Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113000029 CA Practitioner - Internal Medicine 3173691847 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

250 Hospital Pkwy
San Jose, CA 95119-1103
Phone (408) 972-3000

Hospital & facility affiliations

  • Kaiser Foundation Hospital - Antioch Hospital, Antioch, CA, CCN 050760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2008-01628NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Community Foundation Medical Group CurrentSince Oct 27, 2014 Accepting new patients
Permanente Medical Group Inc Internal Medicine CurrentSince Jan 14, 2023 Accepting new patients
Indian Health Center of Santa Clara Valley Current Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
County of Santa Clara Internal Medicine Current Accepting new patients
Community Foundation Medical Group Internal Medicine CurrentSince Oct 27, 2014 Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince Jun 17, 2021 Accepting new patients
County of Santa Clara CurrentSince Nov 19, 2019 Accepting new patients
County of Santa Clara CurrentSince Nov 19, 2019 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Nov 19, 2019 Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince Jun 17, 2021 Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc Internal Medicine CurrentSince Jan 15, 2018 Accepting new patients
Permanente Medical Group Inc Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 1, 2016 Accepting new patients
County of Santa Clara CurrentSince Nov 19, 2019 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jan 14, 2023 Accepting new patients
Louisburg Hospitalists, PLLC Hospitalist Past Accepting new patients

Locations (25 of 42)

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

15891 Los Gatos Almaden Rd
Los Gatos, CA 95032
Phone (408) 358-5633

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

250 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-6320

1642 E Capitol Expy
San Jose, CA 95121
Phone (408) 270-0112

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1730399387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93721",
            "telephone_number": "781-454-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211324",
            "telephone_number": "781-454-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKHERA",
        "first_name": "NIVEDITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2008-01628",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2008-01628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810022031",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "250 Hospital Pkwy",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951191103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NIVEDITA",
            "last_name": "PANDEY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.